MARK WILLIAM KENWORTHY


Address: 14785 Jeffrey Rd., Suite 100, Irvine, CA 92618-0408
Phone: 9495512606

MARK WILLIAM KENWORTHY (NPI# 1194051961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194051961
Entity Type Individual
Full Name MARK WILLIAM KENWORTHY
Credential D.D.S.
Practice Address 14785 Jeffrey Rd.
Suite 100
Irvine
CA 92618-0408
Practice Telephone 9495512606
Practice Fax Number 9495511904
Mailing Telephone 9495512606
Mailing Fax Number 9495511904
Enumeration Date 2009-10-28
Last Update Date 2009-10-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 28012 CA Dental Providers

Office Location

Street Address 14785 JEFFREY RD.
SUITE 100
City IRVINE
State CA
Zip Code 92618-0408

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1265897862 Whitney Elyse Davies Physical Therapist 26650 Alton Parkway, Irvine, CA 92618 2015-12-23
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568086882 Sleep Better Orange County Dentist 14785 Jeffrey Rd Ste 112, Irvine, CA 92618-0410 2020-06-02
1982251682 Seyedeh Hasti Borghei Dentist 19155 Norwood Ter, Irvine, CA 92603-3511 2019-08-19
1093375560 Shadi Afkhamirad Dentist 5 Alexandria, Irvine, CA 92614-0205 2019-06-17
1952864514 Muazz Zendaki Dentist 9950 Irvine Center Dr, Irvine, CA 92618-4357 2019-04-10
1972097947 Hemmat, D.d.s. Inc. Dentist 34 Nature, Irvine, CA 92620-3828 2018-06-21
1134619315 Yuting Yang Dentist 33 Creek Rd Ste C370, Irvine, CA 92604-4791 2018-05-14
1275036931 Mansour Dental Corp Dentist 16 Ivanhoe, Irvine, CA 92602-2034 2018-03-08
1528573813 Mahasti Tabib Dentist 401 Rockefeller Apt 1113, Irvine, CA 92612-7186 2017-12-08
1013432632 Han Kim Dentist 133 Whispering Trl, Irvine, CA 92602-0800 2017-08-04
1134656804 Reza Abaei Tafreshi Dentist 3 Pazzi, Irvine, CA 92614 2017-05-12
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Competitor

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City IRVINE
Zip Code 92618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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